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Organization

D PAVELKA REPRODUCTIVE ASSOCIATES, PA

Active
Other names
Pavelka Reproductive Associates
Organization subpart
No

Provider details

NPI number
Authorized official
CONNIE S SCOTT (OFFICE COORDINATOR)
(763) 783-8155
Entity
Organization

Contact information

Practice address
500 OSBORNE RD NE STE 260, FRIDLEY, MN 55432-2768
(763) 783-8155
(763) 783-1373
Mailing address
500 OSBORNE RD NE STE 260, FRIDLEY, MN 55432-2768
(763) 783-8155
(763) 783-1373

Taxonomy

Speciality
Code
Description
License number
State
261QA0006X
Ambulatory Fertility Facility
Primary
27008
MN

Other

Enumeration date
05/16/2007
Last updated
08/22/2020
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